Active NPI
Serenity Eye Care LLC
- Optometrist
- Spokane, WA
National Provider Identifier
1003329822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 60670127
- Legal business name
- SERENITY EYE CARE LLC
- Practice address
- 7808 N Division St Ste 2
Spokane, WA 99208-6780 - Phone
- (509) 795-2289
- Fax
- (509) 487-2842
- NPI assigned
- Nov 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Allen Thompson, OD
- Title
- Doctor of Optometry
- Phone
- (509) 954-0887
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 60670127 | WA | Primary |
Addresses
Primary practice location
7808 N Division St Ste 2
Spokane, WA 99208-6780
Mailing address
7808 N Division St
Spokane, WA 99208-6780
Phone (509) 795-2289
Other practice location 1
15319 E Indiana Ave Ste 2
Spokane Valley, WA 99216-1863
Phone (509) 608-3921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2091439 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7808 N Division St
Ste 2
Spokane, WA 99208
Phone (509) 795-2289
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Spokane, WA
- NPI 1679928360
-
- Optometrist
- Spokane, WA
- NPI 1568816718
-
- Optometrist
- Spokane, WA
- NPI 1033138631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643587200000",
"number": "1003329822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7808 N DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992086780",
"telephone_number": "509-795-2289",
"fax_number": "509-487-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7808 N DIVISION ST STE 2",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992086780",
"telephone_number": "509-795-2289",
"fax_number": "509-487-2842"
}
],
"practiceLocations": [
{
"address_1": "15319 E Indiana Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992161863",
"country_code": "US",
"telephone_number": "509-608-3921",
"fax_number": "509-487-2842",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SERENITY EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-15",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
"authorized_official_telephone_number": "509-954-0887",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "60670127",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2091439",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.